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Oral Lichen PlanusNCT07721090

Improving Prescribing Quality for Oral Mucosal Disorders Using a Pharmacist-Led Model

A study testing Pharmacist-Led Prescribing Optimization and Patient Counselling in people with Oral Lichen Planus and Recurrent Aphthous Stomatitis, run by University of Fujairah.

Not yet recruiting

Opening soon. The study is approved but enrolment has not started yet. Sites may already take enquiries.

Sites and contacts
Official record
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Trial summary

This study aims to improve how oral mucosal disorders-such as oral lichen planus, recurrent aphthous stomatitis, burning mouth syndrome, herpes viral infection and oral candidiasis-are treated in dental settings. Read more about this study

Who is it for?
Ages 18 to 70 years
What is being tested?
Pharmacist-Led Prescribing Optimization and Patient Counselling
Could I receive a placebo?
No, everyone receives an active treatment
How many people
336 participants
Where
No sites listed yet
Study dates
1 Jul 2026to 31 Dec 2027
Phase
Interventional
Are there results?
Not yet: the study is under way

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults aged 18 years and above
  • Diagnosed with an oral mucosal disorder (oral lichen planus, recurrent aphthous stomatitis, burning mouth syndrome, Herpes viral infection or oral candidiasis)
  • Attending participating dental clinic sessions during the study period
  • Prescribed pharmacological treatment for the oral mucosal condition
  • Able and willing to provide written informed consent

Who cannot join

  • Patients without a confirmed diagnosis of an oral mucosal disorder
  • Patients requiring immediate emergency care or hospitalization
  • Patients currently enrolled in another interventional clinical trial
  • Known hypersensitivity to commonly prescribed medications used in the study
  • Patients unable to comply with follow-up or study procedures

Trial locations and contacts

No sites are listed yet. Contact the study team or a site near you to ask about taking part.

Nabeel Ayappali Kalluvalappil contact

+97192023517

n.kalluvalappil@fu.ac.ae

About this study

Official title: Pharmacological Management Optimization for Oral Mucosal Disorders: A Clinical Pharmacist Led Cluster Randomized Controlled Trial With Implementation Science Evaluation

This study aims to improve how oral mucosal disorders-such as oral lichen planus, recurrent aphthous stomatitis, burning mouth syndrome, herpes viral infection and oral candidiasis-are treated in dental settings. A pharmacist will work with dentists to review prescriptions, provide feedback, counsel patients, and monitor medication safety. Dental clinics will be assigned to either the pharmacist-led model or usual care. The study will evaluate whether this approach improves prescribing quality, patient adherence, symptom control, and safety. The findings may help establish a more standardized, effective way to manage these common oral conditions in routine dental practice.

Read the detailed description

This is a cluster-randomized interventional study evaluating a pharmacist-led model to improve prescribing quality and patient outcomes in the management of oral mucosal disorders. Dental clinic sessions (clusters) will be assigned to either an intervention arm or a usual-care control arm. The study includes patients diagnosed with oral lichen planus, recurrent aphthous stomatitis, burning mouth syndrome, herpes viral infection or oral candidiasis.

In the intervention clusters, a clinical pharmacist will support dentists through structured prescription audits, evidence-based feedback, standardized drug algorithms, patient counselling, and monitoring of medication adherence and adverse drug reactions. Control clusters will continue routine dental care without pharmacist involvement.

The study will begin with an external pilot phase to assess feasibility, refine workflows, and finalize study tools, followed by a baseline phase and then full implementation of the cluster-randomized trial. Primary outcomes include prescribing guideline concordance. Secondary outcomes include patient adherence, symptom severity, quality of life, and medication safety.

Process and implementation outcomes will be evaluated using the Capability-Opportunity-Motivation Behaviour (COM-B) model and the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework to assess acceptability, feasibility, and sustainability of the intervention in real-world dental practice.

Being tested
Pharmacist-Led Prescribing Optimization and Patient Counselling
Keywords
Oral Mucosal Diseases, Oral Lichen Planus, Recurrent Aphthous Stomatitis, Burning Mouth Syndrome, Oral Candidiasis, Medication Therapy Management, Drug Prescriptions, Patient Compliance
Medical subject headings
Lichen Planus, Oral, Stomatitis, Aphthous, Burning Mouth Syndrome, Candidiasis, Oral, Herpesviridae Infections, Patient Compliance

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pharmacist-Led Prescribing Optimization and Patient CounsellingBehavioural

    This intervention involves a structured, pharmacist-led model integrated into routine dental care for patients with oral mucosal disorders. A clinical pharmacist will review dental prescriptions using standardized, evidence-based drug algorithms; provide audit and feedback to dentists; deliver structured patient counselling focused on correct medication use and adherence; and monitor for adverse drug reactions using validated tools. The intervention targets improvement in prescribing quality, medication safety, and patient outcomes, without introducing investigational drugs or altering standard treatment choices.

Study groups in NCT07721090
Study groupRoleWhat they receive
Intervention Arm: Pharmacist-Led Prescribing OptimizationExperimentalParticipants in this arm will receive usual dental care supplemented by a pharmacist-led intervention. A clinical pharmacist will conduct structured prescription audits, provide evidence-based feedback to dentists, apply standardized drug algorithms for oral mucosal disorders, deliver patient counselling on medication use and adherence, and monitor adverse drug reactions. Medications prescribed may include topical corticosteroids (e.g., clobetasol propionate 0.05% gel/ointment applied 2-3 times daily for 2-4 weeks, fluticasone propionate spray off-label), topical antifungals (e.g., nystatin oral suspension or miconazole oral gel), and other supportive therapies as per standard care. The intervention continues throughout the study period.
Receives: Behavioral: Pharmacist-Led Prescribing Optimization and Patient Counselling
Control Arm: Usual Dental CareNo interventionParticipants in this arm will receive routine dental care for oral mucosal disorders according to existing clinical practice. Prescriptions, counselling, and follow-up will be provided at the discretion of the treating dentist, without pharmacist-led prescription audit, structured feedback, standardized counselling, or formal adverse drug reaction monitoring as part of the study protocol.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Prescribing Guideline Concordance

    Proportion of prescriptions that are fully concordant with predefined, evidence-based treatment guidelines for oral mucosal disorders, as assessed using a standardized prescription audit checklist.

    Measured: Through the 9-month intervention phase (Months 4-12)

Secondary outcomes (5)
  1. Medication adherence rate (%)

    Percentage of prescribed doses taken, determined using a standardized adherence assessment combining self-reported adherence with objective measures (pill count or topical medication usage assessment, as applicable).

    Measured: At baseline and at the end of the 9-month intervention phase (Month 12)

  2. Symptom Severity

    Change in patient-reported symptom severity (pain/burning sensation) measured using a numeric rating scale (0-10).

    Measured: At baseline and at the end of the 9-month intervention phase (Month 12)

  3. Oral Health-Related Quality of Life

    Change in oral health-related quality of life measured using the Oral Health Impact Profile-14 (OHIP-14). The OHIP-14 total score ranges from 0 to 28, with higher scores indicating poorer oral health-related quality of life.

    Measured: At baseline and at the end of the 9-month intervention phase (Month 12)

  4. Adverse Drug Reactions (ADR)

    Incidence, type, severity, causality (WHO-UMC), and preventability (Schumock and Thornton criteria) of adverse drug reactions related to prescribed medications.

    Measured: Through study completion (18 months)

  5. Patient Counselling Quality

    Completion and quality of pharmacist-led counselling assessed using a standardized counselling checklist.

    Measured: Throughout the 9-month intervention phase (Months 4-12)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Jul 2026
  2. Study start1 Jul 2026 (estimated)
  3. Primary completion30 Nov 2027 (estimated)
  4. Study completion31 Dec 2027 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Health services research
Allocation
Randomised
Intervention model
Parallel groups
Masking
Single blind
Who is masked
Outcomes assessor
Enrolment
336 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT07721090
Sponsor's protocol ID
EA#65
Status last verified
Jun 2026
First submitted
21 Jun 2026
Last updated
22 Jul 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Harden SM, Gaglio B, Shoup JA, Kinney KA, Johnson SB, Brito F, Blackman KC, Zoellner JM, Hill JL, Almeida FA, Glasgow RE, Estabrooks PA. Fidelity to and comparative results across behavioral interventions evaluated through the RE-AIM framework: a systematic review. Syst Rev. 2015 Nov 8;4:155. doi: 10.1186/s13643-015-0141-0.

    PubMed 26547687
  • Willmott TJ, Pang B, Rundle-Thiele S. Capability, opportunity, and motivation: an across contexts empirical examination of the COM-B model. BMC Public Health. 2021 May 29;21(1):1014. doi: 10.1186/s12889-021-11019-w.

    PubMed 34051788
  • Papagiannopoulou V, Oulis CJ, Papaioannou W, Antonogeorgos G, Yfantopoulos J. Validation of a Greek version of the oral health impact profile (OHIP-14) for use among adults. Health Qual Life Outcomes. 2012 Jan 14;10:7. doi: 10.1186/1477-7525-10-7.

    PubMed 22244162
  • Klimek L, Bergmann KC, Biedermann T, Bousquet J, Hellings P, Jung K, Merk H, Olze H, Schlenter W, Stock P, Ring J, Wagenmann M, Wehrmann W, Mosges R, Pfaar O. Visual analogue scales (VAS): Measuring instruments for the documentation of symptoms and therapy monitoring in cases of allergic rhinitis in everyday health care: Position Paper of the German Society of Allergology (AeDA) and the German Society of Allergy and Clinical Immunology (DGAKI), ENT Section, in collaboration with the working group on Clinical Immunology, Allergology and Environmental Medicine of the German Society of Otorhinolaryngology, Head and Neck Surgery (DGHNOKHC). Allergo J Int. 2017;26(1):16-24. doi: 10.1007/s40629-016-0006-7. Epub 2017 Jan 19.

    PubMed 28217433
  • Shukla AK, Jhaj R, Misra S, Ahmed SN, Nanda M, Chaudhary D. Agreement between WHO-UMC causality scale and the Naranjo algorithm for causality assessment of adverse drug reactions. J Family Med Prim Care. 2021 Sep;10(9):3303-3308. doi: 10.4103/jfmpc.jfmpc_831_21. Epub 2021 Sep 30.

    PubMed 34760748
  • Rohay JM, Dunbar-Jacob JM. Variation in adherence measures as a function of calculation methods. Front Pharmacol. 2024 Nov 13;15:1460327. doi: 10.3389/fphar.2024.1460327. eCollection 2024.

    PubMed 39611172
  • Yoshida K, Watanabe S, Hoshino N, Pak K, Hidaka N, Konno N, Nakai M, Ando C, Yabuki T, Suzuki N, Katsura K, Tomihara K, Toyama A. Hospital pharmacist interventions for the management of oral mucositis in patients with head and neck cancer receiving chemoradiotherapy: a multicenter, prospective cohort study. Support Care Cancer. 2023 May 3;31(5):316. doi: 10.1007/s00520-023-07784-6.

    PubMed 37133630
  • Bakhshi F, Mitchell R, Khosravi A, Antikchi M. Guideline adherence for controlling incidence of medication errors: a systematic mixed-method review. Int J Pharm Pract. 2025 Oct 3;33(5):477-493. doi: 10.1093/ijpp/riaf049.

    PubMed 40650560
  • Shetty Y, Kamat S, Tripathi R, Parmar U, Jhaj R, Banerjee A, Balakrishnan S, Trivedi N, Chauhan J, Chugh PK, Tripathi CD, Badyal DK, Solomon L, Kaushal S, Gupta K, Jayanthi M, Jeevitha G, Chatterjee S, Samanta K, Desai C, Shah S, Medhi B, Joshi R, Prakash A, Gupta P, Roy A, Chandy S, Ranjalkar J, Bright HR, Dikshit H, Mishra H, Roy SS, Kshirsagar N. Evaluation of prescriptions from tertiary care hospitals across India for deviations from treatment guidelines & their potential consequences. Indian J Med Res. 2024 Feb 1;159(2):130-141. doi: 10.4103/ijmr.ijmr_2309_22. Epub 2024 Apr 4.

    PubMed 38528817
  • Teoh L, Moses G, McCullough MJ. A review and guide to drug-associated oral adverse effects-Oral mucosal and lichenoid reactions. Part 2. J Oral Pathol Med. 2019 Aug;48(7):637-646. doi: 10.1111/jop.12910. Epub 2019 Jun 26.

    PubMed 31241804
  • Stoopler ET, Villa A, Bindakhil M, Diaz DLO, Sollecito TP. Common Oral Conditions: A Review. JAMA. 2024 Mar 26;331(12):1045-1054. doi: 10.1001/jama.2024.0953.

    PubMed 38530258

Questions about this trial

What is this clinical trial studying?

A study testing Pharmacist-Led Prescribing Optimization and Patient Counselling in people with Oral Lichen Planus and Recurrent Aphthous Stomatitis, run by University of Fujairah.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: opening soon, as of the sponsor's last update on 22 Jul 2026. Status can change between updates, so confirm with the study contact before making plans.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

How can a doctor refer a patient or contact the research team?

Contact Nabeel Ayappali Kalluvalappil (+97192023517, n.kalluvalappil@fu.ac.ae), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Prescribing Guideline Concordance (time frame: Through the 9-month intervention phase (Months 4-12)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT07721090, which also lists 11 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 22 Jul 2026.

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